A Medicare patient receives services valued at $1,120 according to a provider's usual fee, but the MPFS allowed charge is only $1,035. Assuming the deductible has been met, how much is the amount of the practice's adjustment?

Question

Quizplus · Accepted Answer

The practice's adjustment is the difference between the provider's usual fee ($1,120) and the Medicare Physician Fee Schedule (MPFS) allowed charge ($1,035), which is $85. This is the amount the practice must write off, as Medicare will not pay more than the allowed charge.

A Medicare Patient Receives Services Valued at $1,120 According to a Provider's